Speaker 1: When your old career gives you lemons throwing some ice
mix in some vodka.
Speaker 2: Call it a podcast from the Mac of All Trade
Studio in Fairport and driven by Victor Chrysler Dots jeep Ram.
It's Billified, the Bill Moran Podcast.
Speaker 3: Well, hello and welcome.
Speaker 2: Thanks for getting your pot on, Thanks for keeping the
tush push. Oh, thanks for telling a friend. That's how
we spread the word about the pirate ship. Danny is
here Tonight's well, I have special guests joining us. We're
going there talking about the prostate. Well, it comes up
once in a while. I think over masturbation, whether or
not is there a healthy limit that's the way to
keep your prostate healthy, or we shouldn't say that. We
should say ejaculation would be a way to keep your
prostrate healthy. So many times a week you seem very
uncomfortable about this.
Speaker 1: Clinically, I don't know. That's why we're bringing somebody in.
The guy's an expert pro he knows.
Speaker 3: Yeah, he knows, assholes. Uh right, that's.
Speaker 1: It's a urologist assistant. Yes, for eurologist specializes in neurology.
Speaker 2: Okay, when the way to get there is yeah, the
prostate to the prostate is oh speaking of that, Along
the same lines, the Toush push play, the game Notoriety
Danny thanks to the Philadelphia Eagles, I believe.
Speaker 1: Not the country line Dance, No, I don't think so.
Come out about the time of Icky Breaky Heart. Do
you remember that? Yeah? What did the push the did? Yeah?
It was a line dance. I don't There used to
be the show on the National Network TNN when it
was a country station called my grandmother called the White
Horse Saloon, and they had line dancing with couples every
every day from three to five how like? So, yes,
so my grandmother would watch it.
Speaker 2: Yeah, she loved it was fantastic.
Speaker 1: I don't know why. I just watch a couple's dance,
and then she would take note of which guy was
with which girl, and if he was dancing with a
different girl, Oh, he must be cheating, or oh he
must have left that one. They must have had a
fallen out. Like she had these scenarios in her head.
She didn't realize they were just professional dancers.
Speaker 4: Yeah.
Speaker 2: Right.
Speaker 1: She was in the seventies and this is after this
is before Ojeah, right, So she didn't stop to watch
that oj happened. We forgot all about the White Horse Cafe.
Speaker 2: A second, what is the tush push dance?
Speaker 1: It was one of the line dances they did, was
the tush push. It came out with the Achy Breaky.
Speaker 3: I did not know.
Speaker 1: Yeah, this is post to the electric slide.
Speaker 3: Though, Okay, I did not know.
Speaker 1: This is when line dance became a thing because the.
Speaker 2: Toush push I thought was with The Eagles used it
to help their short yarded success, and I think they
used it in the Super Bowl war they won forty
to twenty two over the Chiefs.
Speaker 1: There was a lot they put. They pushed the they
pushed the Chiefs pushes around.
Speaker 2: Yeah, but so they voted. They had a debate at
the owners meeting. Yeah, and sixteen out of thirty two
NFL teams supported a proposed ban, led by the Green
Bay Packers and supported.
Speaker 3: By one Sean mcnermot.
Speaker 1: Yeah, he was pretty out of it.
Speaker 3: Yeah.
Speaker 2: Safety concerns is what they say in their argument, despite
limited data available about it.
Speaker 1: There's limited deat because it's only been around like three years.
For years, you couldn't push anybody or pull anybody across,
and then somehow the rule got changed and the Eagles
and the Bills are taking advantage of it because they
have two quarterbacks.
Speaker 3: Well why would you? Okay, so why is Sean against it?
Speaker 2: Like, here's the thing I thought, is there a chance
they're going to outlaw because it's not as exciting of
a play. It's not exciting and it's almost a foregone
conclusion that you get the first down, So I go there,
it's gonna go away.
Speaker 3: So then the Bills.
Speaker 2: Then the Bills fucked it up.
Speaker 1: I think more they got it the first time. Yeah,
you go back and watch the game. They got it
the first time, but they can't city caught on.
Speaker 2: So I feel like like once they screwed it up,
and then I'm like, oh, it's here to stay now
because it's not one hundred percent all the time and
it's not an exciting play.
Speaker 1: It's just not if I want to watch rugby, i'd
watch rugby.
Speaker 3: But you know what I mean.
Speaker 2: So, and I feel like the NFL is ever shifting
rule book. But I guess that's how you keep the
game fresh and you keep people interested and they're you know,
we're talking about it, right, So that's that's the thing.
But I mean, is it strategy based versus health concerns.
I'm not really sure.
Speaker 1: Well, there isn't enough people like have you seen the data?
Because the media, like you know, they're all about film
until they have data, and then the data like they're
supposed to dictate, you're not gonna have dada on it.
Here's the thing, Sean McDermott I had the question about this.
I asked some guys from hashtag sports their opinions. I
actually asked Greg Connors about his two we're talking to
him a second. But the thought is, the Bills ran
a very conservative offense considering this year, considering the fact
that they have shosh Allen now. People thought maybe it's
because he didn't have any weapons to work with. Uh,
they'd bring an extra offensive lineman every once in a while.
Why are they just you know, running the ball for
Why are they so conservative? And the guys from hashtag said, well,
here's the thing you gotta remember, Sean McDermott had a
front row seat to watch in Cam Newton's career, like
you know, climax and then immediately take a nose dive
because they would do the same they the Cam new
right did to right and who does as far as
his body type. Who does Josh Allen.
Speaker 2: Get compared to Cam Newton.
Speaker 1: They don't want to see what happens with Josh all
who now handed what like a third of a billion
dollars to right that to happen to him. And so
when you watch Alan go through this, he does like
when Sean McDermott talks about his posture and there's a
radio station west of but Tavia, that was like vicdermam
made a silly argument, And I'm like, no, he didn't.
You make the arguments, dumb ass.
Speaker 5: Look at Alan.
Speaker 2: Watch the tape.
Speaker 1: The tape.
Speaker 3: Why do you get all work up about these guys?
I know because I know what I'm talking about.
Speaker 1: Okay, so watch the tape. Watch Josh Allen. Do you
want your quarterback being treated like a pinata six times
a freaking game?
Speaker 3: No, I don't adds up.
Speaker 1: It's not gonna hurt him right now. It might, but
it could hurt it could shorten his career.
Speaker 2: I put something on Facebook and someone wrote, you know,
should it be out louder? And someone wrote, the NFL
allows hard hits, turf injuries, and hip drop tackles. Yet
suddenly a rugby style scrum is where they draw the line.
Why is this the hill? Some coaches are willing to
die because it's the quarterback and the most important guy
in the organization. You really could? I mean, I keep thinking, like,
just hit your neck the wrong way. It's a head twist.
I mean to me, that's it.
Speaker 1: I think McDermott like question is though, is that okay?
Why run this play? Then that's where I think people
have an issue with McDermott, and I do too. I
agree with McDermott, this play needs to go. I don't
like the play. I hate the play for Allen's sake
only I hate the play.
Speaker 3: Maybe he is like, maybe you won't see it at
all this year.
Speaker 1: Friend Greg, Yeah, our friend Greg Connors. I said, why
would McDermott then go back on this? Is it because
he's being told to? Is it because his own his
fellow coaches are saying, Sean, we got to get rid
of this because it's worked out for the Bills like
ninety five percent of the time. He goes because he
will do whatever it takes to win regardless.
Speaker 2: Of the rule.
Speaker 1: But if he can eliminate the rule, now he doesn't
have to do it anymore. Which makes a lot of sense.
The thing is, though, is that Tom Brady used to
run this play all the time. Five wide receivers, he
get under center, So now you have to put five
guys on the five receivers. So now there's only six
on six, six defensive linemen, five offensive lineman and a quarterback.
It gets everybody out of the area. And you know
what Brady's gonna do. He's just gonna go to the left.
He's gonna go to the right, and nine times out
of ten he got a first down and he was safe.
He rarely got hurt other than one time when when
a guy would after his knee and they changed the rule.
You can't go after quarterbacks knees anymore. They want to
protect the quarterback. Why couldn't a McDermott run that play
because they run the same offense the Patriots.
Speaker 3: Did or b B.
Speaker 1: Here's the other thing, here's what Kansas City does. Kan's
City's running play with Kansas City would run the play
with When you asked, Kansas City runs the play with
Travis n with Travis Kelsey. Yes, yes, so they have
they have the tight end.
Speaker 2: Who also is worth a lot of buddy, But he's
a he was a quarterback and college.
Speaker 1: Yeah, but still, like, I mean, you could practice this
at home. It's not like you know and work about
work on it and make it work. Like Dawson Knox.
What else is Dawson Knox really doing? What is he doing?
He's getting a ton of money to do what not
catch footballs? So you might as well put him under
center or not? You take the staff of that.
Speaker 3: Well, that's true, that's true.
Speaker 1: I hear what you're saying, right, So, like, why do
McDermott if he's against it, why is Josh Allen, you know,
running his play every time it comes?
Speaker 3: I just because it works. I think it's it's funny.
Speaker 2: I do find it to be somewhat of a boring play,
but I guess in a playoff game, getting the first
down isn't all.
Speaker 1: That's bad boring until it gets stopped. Well, right, then
come the revenue, then cub everybody like child for the defense.
Speaker 2: And I just thought it was so I thought it
was going to go.
Speaker 1: Against the Rams. They they didn't run it well either,
They got stuffed and then they call the time out
to cost them the game. So I mean, it's not
an automatic, no.
Speaker 3: Well, uh not anymore. It sure seemed like it was.
Speaker 2: I mean, it really did to me for so long,
and that's why I thought it'll go away because of
that more than anything else.
Speaker 5: Now.
Speaker 1: I mean, I appreciate mcdermot's reasoning. I appreciate the fact
that he wants it out because I don't want it
in football either. For Josh Allen's sake, if we didn't
have a quarter it. Let's say we had Ryan Fitzpatrick
and the bill sucked, I wouldn't care. Okay, no offense
to Ryan Fitzpatrick, but I want to protect my quarterback
now as far as But the thing is, though, is that, yeah,
but you could run the play with somebody else, or
you could run the play that the break you used
to run that worked like ninety nine times out of
one hundred. That's where coaching comes in. That's where I
get frustrated. It's like, you're against this play, but you
could have run something else. You didn't do it, I know,
So you put your quarterback in line, not like like
Greg says, well, they want to win.
Speaker 3: Is a hypocrisy.
Speaker 1: I don't know, is that's so much hypocrisy it's just
idiocy to me, Well, if you're against it, now, why
were you running it so often?
Speaker 3: But I think they ran it.
Speaker 2: And then he's seeing maybe new maybe he's seen that
it weren't he didn't.
Speaker 1: But he didn't talk about it unless he wants to
keep that under wraps. Probably have this proprietary AI that
they're not.
Speaker 2: There's something else that he's trying to push through the league.
And you know it could be could this become like
the political floor of Hey, Dan, if you vote this
way on this, I'll back your silly bill, which I
know sounds ridiculous because it's the NFL and why would
you do that?
Speaker 3: But I wonder if there is some aspect of it.
Speaker 1: So the Packers put the proposal that you can't push
or pull the player. In other words, I got to
do it on their own. You could sneak you want,
but you can't get push push to push.
Speaker 2: And that's what we're talking about, is yeah, and then
the that is you think about that, that is where
somebody could really get hurt when someone else is like,
you know, pushing you from the other end. It's lovely, lovely, lovely,
the way that all called the brotherly shove, Yes, Philadelphia,
the brotherly.
Speaker 1: We called the buffalo.
Speaker 2: Well, I mean, look, you've got linemen that are legally
rearranging body organs every Sunday afternoon on people players.
Speaker 1: Neurology, they call it the prostate.
Speaker 3: Yes, well they could somebody's head could be right up there.
Speaker 1: Yeah, you never know.
Speaker 3: I'm very excited because, uh, well we'll take a break here.
I know it's a little early from when we normally.
Speaker 2: Do, but we've had a lot of questions about the
prostate on the on the yes, we yes, it was
not just me, it was other people as well. Maybe
you weren't here, but I think somebody chimed in. Maybe
it was Laura. I thought Laura prostate. No, she was
saying something about Kevin's prostates and then I think you
said something about a prostate ones probably yeah, oh do
I'm worried about all the body parts.
Speaker 3: Yes, I know.
Speaker 2: And so there came up some things and then Dan said, hey,
I have a friend who works as part of a
urology team. Yes, and I'll see if he can come in.
So I'd like to keep this as somewhat academic as
possible without to because it is the procept. Yeah, we
don't want to like well, We've heard of ways of
keeping the prostate healthy. Yes, right, which is you know,
it's almost like you got to clean it out.
Speaker 1: Yeah. We don't want to turn this to turn into
like an immature sophomore.
Speaker 5: Oh, I don't know.
Speaker 2: We want to have fun. I mean, but this is.
Speaker 1: A something guy I don't like to talk about. People
don't like to talk.
Speaker 3: I think there's things like a rectile. It's fine.
Speaker 2: I will tell you this. My grandfather, uh, died of
colon cancer. And I know it's slightly different, but to
check the prostate had to go the same way as
the colonoscary, and he died of it because at sixty
nine years old, primarily because he was too proud to
have someone you know, visit his anus.
Speaker 1: So my father died a colon cancer. But he went
and got checked. The problem was the second time he
got a colonoscopy. It's not like it is today where
they put you out and all this other stuff. You
were awake and it was awful, and he was like, okay,
never again any way, too long, and he passed away.
I know, Vince Lombardi died of prostate cancer for the
same reason as your grandfather did.
Speaker 3: Yeah, I'm pretty.
Speaker 2: Sure he didn't want to get a story because then
I had heard that there was like blood and stuff
and coming out and is one have bowel movements? And
then I think also the prostate had not been checked
whatever point being, let's not be too proud to have this.
And now, I mean there's been many people who have
even had the prostate and I didn't put this on
the list of questions, but had it removed and what
Joe both had right because of cancer? And I was
told by my doctor, if nothing else gets you, prostate
cancer will like if you live long enough, you're gonna
get it.
Speaker 1: Moses, is it years old?
Speaker 3: Amazing?
Speaker 1: Yeah? Yeah, it's in Deuteronomy.
Speaker 3: Huh. It was his burning bush that was going on there.
Speaker 2: All right, So we will take a moment and we
will talk to uh do we do just first name,
first and last name? Is there any ANONYMO non nimity
anonymity and a minimout of all right? All right, we
will get to uh that right after this bTB wood Fire,
Pizza and Grill and the Mall at Grease Ridge. Matt
Reese was in here earlier this week from bTB and
never mentioned that it's their fourth anniversary. Always humble, always humble,
But I mean, what a cool accomplishment.
Speaker 3: And get out there.
Speaker 1: God, the portions of things are so big, and all the.
Speaker 2: Food is delicious. I'm telling you, you have some of
this food, You're gonna be bringing it home and heating
it up for a day or two, and it's so good.
I have been so impressed with what bTB does. And
here's the thing. They got a new menu out there.
It's packed with mouth watering entrees that'll tantalize your taste Budgs.
They got everything from sizzling wood fired pizzas to hearty
Italian dishes. There is really something for everyone on the
menu and final four catch every slam dunkin buzzer beater.
They got over fifty TVs strategically placed throughout the restaurant.
There is not a bad seat in the house. And
I want to remind you they have the longest happy
hour Monday through Saturday, eleven am to six pm. Unbeatable deals.
You got like three dollars tall domestic drafts, five dollar
Tito's House wines. Make bTB your go to spot this
week and every week for delicious food, great basketball, and
a festive fun atmosphere. Make their anniversary. You just say
happy anniversary, and they probably can't keep it low key.
I think maybe not. I don't know. He never mentioned
it four years. I think that's an accomplishment. bTB would
fire pizza and grill in the mall at Greece Rich.
Speaker 4: Not a quarter to three. Yes, I woke up this morning.
It was about a quarter of the three. I woke
up because I had to.
Speaker 1: Be happen to be in a smart too.
Speaker 6: Sure that's right, buddy, prostate blues, stay right, just say right.
So I believe it came up and talk about masturbation
and keeping your prostate healthy how many times and clinically speaking,
you need to ejaculate to keep your prostate healthy. So
that's where I think the original impetus of getting somebody
who has some scientific knowledge about this would come in.
And Dan had I forgot he was in your band.
You said the original Diggler's Bridge.
Speaker 2: Was he there at East End when you were the
big rock star and we took that picture. Oh he's not, okay,
but the original, the original, the four to eight version, okay, yeah,
And we didn't come around as a break room until eight.
That was when we started. Maybe it might have been
on nine.
Speaker 3: No, yeah, that's right. And Dan Barney, So.
Speaker 2: Dan, you are a physician's assistant in a urology office.
Speaker 5: Correct, Yeah, with the University of Rochester, primarily outpatient urology,
so seeing patients and clinic pretty much five days a week.
And I've been in neurology actually since two thousand and six.
Speaker 3: OK.
Speaker 5: So that was my kind of second second. Yeah, it's
more than I can even.
Speaker 2: The event, Well, see that Danny, Danny to see Danny
just turned a nice shade of red.
Speaker 3: I just I had to throw it in there.
Speaker 2: Well here, so as the physicians assisted, I always go,
why not become the full guy? You're doing everything. You
probably have as much knowledge.
Speaker 5: It's I mean, no, I mean we we work with
some extraordinary doctors and they some of the smartest people
I know. And you know, it just kind of started
out where you know this is you know, back in
high school in the mid mid mid to latesh nineties,
I had an aunt who was a physicist system and
I was like, wow, can you stitch people up? And
you know, putting casts and you know all that stuff.
And she's like yeah, I'm like all right, cool, that's
what I'll do. And then it just everything kind of
fell into place. And you know, got into ri T
right out of high school because.
Speaker 3: I would think like, if you're a doctor, you got
into ri I.
Speaker 5: T into rit Yeah, their PA program.
Speaker 2: Their PA program. Yeah, I know somebody else who did
their pay program. But I'm thinking like, you're a doctor,
and well, let's see you're dermatologists. And somebody goes, hey,
you got a minute. Yeah I had a cocktail party.
Speaker 3: Take a look at this thing. Have you ever had
somebody to get.
Speaker 2: A hey, A lot of things have changed in my
body here and I'm paying a lot.
Speaker 3: Do they say that to you? Sure?
Speaker 5: They do certain things, like you know, I think maybe
you know, the prostate you know, comes up a little
bit more often or well it's a.
Speaker 2: Little more people are more willing to talk.
Speaker 5: About it, right, Yeah, And that's you know, that's the
segue into other things. You know, I get questions on
kidney stones and you know, random things bladder. You know,
it's all a part of eurology. But I just kind
of somehow migrated towards the you know, men's health or
sexual medicine aspect of it. Okay, you don't go to
school just to do that. It was kind of you know,
got into urology and noticed that, you know, hey, I
more of these patients are coming back to see me, right,
and you know, kind of word of mouth and just
all of a sudden, it becomes a primary part of
your practice without even you know, necessarily setting out that
goal at the beginning.
Speaker 1: Gotcha, ay you talk about starting your own YouTube channel.
Speaker 5: But let's see how today goes.
Speaker 3: So there's been a lot of talk.
Speaker 2: We did talk about how frequent ejaculation, whether through sex
or masturbation, helps the prostate or how much is is
there that optimal frequency base? And it should it be
based on age? Is it based on one ever? And
does too much or too little increase the risk of
prostate issues. I will put a little story in here
with the fact that I was like hyper horning when
I was in my twenties, and I think if I
wasn't having sex, so I was probably pounding something right.
Speaker 3: And I would get I would. I had a prostate infection.
Speaker 2: In my early twenties and I had to have it
checked several times, and it would be like, you know,
it almost feel hot, Like I could feel it hot,
and I think it was just overuse. Because I was
told at the time a lot of young guys get this.
I was like, I didn't know any young guys I
got it.
Speaker 5: They're kind of be Yeah, there's you know, certainly, the
more activity going down there, you know, can can increase
risk of certain things. There's you know, statistically, when you
look at a prostatitis, right, we all think of it
as a bacterial infection, but you know, only twenty percent
of cases of prostatitis are actually from bacteria. You know,
lots of you know, it can certainly be that and
tends to come with more urinary symptoms, burning, urgency, frequency,
slow deer and streams. Sometimes if it's really a bacterial infection,
people can feel like they have the flu, like they
feel sick, run down, you know, in a long antibiotic
course is really the only thing that gets you out
of that. Eighty percent of those cases, though, are are
not bacterial related, and that can be from local reactions, inflammation,
hyperactivity of the pelvic floor. You know, certainly, when you
know people are taking matters into their own hands, there
can be you know, some tension in the lower.
Speaker 2: The best way to say that I have ever heard
of that was that was poetic? Yeah, that was poetic.
Speaker 5: There's a you know, there can be tension in the
pelvic floor. Muscles can get tight and that can actually
you know inhibit you know, good blood flow. It can
impinge nerves that go into that area and you know,
pelvic floor dysfunction, hypertonicity. That can cause you know, symptoms
that mimic prostatitis.
Speaker 2: Okay, and can it when you say mimic, can it
also will you have a.
Speaker 3: Swelling of the prostate discomfort? Yeah?
Speaker 5: Yeah, and the prostate tends not to get swollen in
that situation. But okay, you know there's there's ways we
have to to find that out.
Speaker 3: Yes, what you alluded to earlier.
Speaker 2: Right, well, it is I mean I think is that
the only way to check the prostate in general?
Speaker 5: Yeah? An educated finger and yeah, yeah, a blood test.
Speaker 2: You know the PSA are they not doing the finger
upon physical anymore unless you.
Speaker 3: I don't know what it would be like have a
history or.
Speaker 5: Right, It's interesting there's you know, there's all sorts of
you know, research that comes out that's four rectal exams,
you know, arguing against prostate exams, Like what are we
are we actually you know, saving lives doing this. And
you know, every so often things come out as well
about getting a p SA check the blood test back.
I think it was in twenty twelve. Uh, it's the
US Presentative Services Task Force recommended against routine prostay cancer screening.
And there's actually a study that came out very recently
that California especially has been seeing a significant increase in
prostate cancer since around then, when previous to that there
was actually a stagnation or a decline. Wow, so they
stopped really you know, being proactive in screening men for that,
and they're actually finding prostate cancer in more advanced stages now.
And in my opinion, it's you know, there's there's really
only you know, a couple of good ways of screening
for prostate cancer, and you know that includes the p S,
a blood test and you know, yes, a a prostate exam.
Speaker 3: What is go ahead?
Speaker 1: Didn't you when you were with wisa's show, didn't you
Tommy and Weize and everybody all get prostate exams on
the air.
Speaker 2: Yes, thank you for reminding me of that painful moment.
Speaker 1: But you made it sound like it wasn't that big
a deal.
Speaker 2: Well, because I had had several by that point, Uh,
because I did. When I was younger, I went a lot,
and I remember my doctor saying to me, uh, yeah,
a lot of young guys, you just take this. But
I would get them like I had. It felt like
it never went away sometimes and sometimes I would get
fevers and I can kind of tell what it was.
I think one could this be because somebody was I
did get a kidney infection where I was like peen
blood at one point, and I was in such pain
that I like I practically collapsed. I didn't realize how
painful that could be. And uh, somebody's like, well, what
did what? How did you get something in there? Because
it that I was told is like really rare for
men to get a kidney infection in general.
Speaker 5: Yeah, it's it's it's it's surprising it doesn't happen more
often just because that's you know, it's it's an area
that is just littered with bacteria, viruses, and there's a
hole down there, Bacteria go up you know, and you know,
if a if an infection goes on too long, it
can keep essentially just going upstream, you know. And and
if you know you don't have munch on water intake.
Your system's not flushing itself out, and it, you know,
makes it easier to develop that.
Speaker 3: Sort Oh yeah, so do you so? Okay?
Speaker 2: What you know, What I was just thinking as you
were talking previously, is what is the function of the prostate.
I don't know that most people really understand it. It's
a gland, right, That's it's sort.
Speaker 5: Of land, and essentially it makes semen, yeah, to mix
with sperm and appro create. That's it's about it.
Speaker 2: That's about it, and I would when men have had
this room, but does it also play into any part
of a rectile dysfunction?
Speaker 5: It can sometimes it can't get in the way of
you know, blood flow, nerve function, but it's it's not
the most common reason why men end up with that issue.
Speaker 2: Right, So what when men have had and there's a
few guys that I know who have had their prostate removed,
and there's a whole procedure. I think doctor Drew at
one point was talking he had his taken out and
what a process it was healing from that and coming
I guess getting all kinds of function. I would assume
is it because of you're cutting the muscles or is
there some kind of connection.
Speaker 3: Does it affect your sex life?
Speaker 5: Yeah for sure. Yeah, there's there's a neurovascular bundle that goes,
you know, right around the prostate, very close to it,
and they have to move those things out of the
way in order to take the prostate. You know, there's
there's been the more of a focus on you know,
certain surgeons trying to do what it's called nerves sparing
you know, uh, procedures where you try to you know,
have the least amount of effect on the nerves as possible.
You know, if you if you cut the nerves, that
just basically you know, blocks the signal from you know,
your brain down to the penail arteries to say, hey
let's let's get an erection. But those nerves are very
sensitive to like even if if you have a surgeon
who tries to spare those nerves, they get injured by
even just traction, you know, moving them out of the way,
thermal injury, you know, from the cautery they have to
use to do. Yeah, well they got like procedure. Yeah,
so you've been.
Speaker 2: Bleeding down because there's a lot of probably tiny blood vessels.
Speaker 5: They just i it. Yeah, people used to bleed a
lot in the open procedures they used to do for
that was a relatively high blood loss surgery until the
Da Vinci robot you know, came about and they started
perfecting those techniques, uh, taking out the prostate you know
from more of a laparoscopic technique.
Speaker 2: Yeah.
Speaker 1: See, the robots are taking our jobs.
Speaker 3: Billy good. It sounds like it was good. It's a
steadier hand.
Speaker 5: And it's it's gotten a lot better when I was
when I first got into urology in six that was
kind of really when you know, the DIVINCHI started taking
hold and you know, people who I used to see
post operatively then compared to now, patients are doing much
better now, they're they're regaining continents much quicker. A rectile
function it's lagging behind a little bit. But again, at
the end of the day, if if you have a
prospect that needs to be removed, the 's number one
priority is you know, make sure that cancer's out of
there and it's not.
Speaker 1: Going back, right, Yeah, that's the important thing.
Speaker 2: Is it similar to a woman's hysterectomy type thing or
am I only in that it's sexual function?
Speaker 5: Right?
Speaker 3: Cancer in that area.
Speaker 5: Right, Yeah, there's you know, from from a physical standpoint,
there's a there's quite a bit more collateral damage when
you when you take out the prostate, you know, you're Yeah,
your urine goes right through the middle of the prostate.
You know, I tell patients all the time, I mean,
think about.
Speaker 1: Your Yeah, it's like the red Sea.
Speaker 3: I didn't know that.
Speaker 5: Yeah, you think about your prostate a being like an
apple that has been cored. Right, you can see right
right through the middle of right, and that's that's right
underneath your bladder. And when you pee, the urine goes
right through the prostate's part of the prostate.
Speaker 1: It's like those aquariums where you walk underneath you see
all the fish.
Speaker 3: Yeah.
Speaker 2: So if your prostate is swollen in the you can
that's where the song somewhat jokingly saying it's three fifteen
or it's a quarter to three in the morning, I
have to get up and pee r H. Frequent urination
is usually a sign of an enlarged prostate.
Speaker 5: And large procect most of the time.
Speaker 3: Yet why is that? Because it's pushing on the bladder.
Speaker 5: It it well, it can imprint on the bladder. It
can also you know, and talking about the apple. Pretend
like that apple all of a sudden starts growing in
on itself, that course, starts growing in on itself. So
where he had this nice you know, paytent space for
the year and to go through. Now it's not so
it it takes longer to empty. And your bladder sometimes
can only squeeze so much for so long, and you
think you're empty, but there can be several ounces left
in the bladder. So you're starting with you know, the
third or half of the tank, and it, you know,
can keep waking you up. So those are the guys
that are in the you know, you go into the
men's room, you know, the urinal. You go in there
and you do your thing, you see, and you're next
to the guy and how doing And you leave and
he's still peeing. Yeah, you wash your hands, you're leaving
and he's still in there, you know, huff and puffing.
You know. Those those the guys that have have, you
know a lot of prostate issues.
Speaker 2: Ugh.
Speaker 3: Have you ever turned to a guy and going, you
know what, here's my card.
Speaker 5: Now I've thought of it before, like, hey, you know.
Speaker 3: I think it can help you out with this. It
seems like there's a lot of discovery.
Speaker 2: But back to the masturbation, is there truth to that
that not man but sex or masturbation ejaculation is healthy
for the prostate And is there sort of a balance
like I think they were we read somewhere three times
a week. I don't know if that's true enough.
Speaker 5: And yeah, and this is something they've been looking into
since like you know, I think the mid eighties, and
then every you know, five ten years, another study comes out,
and what it seems to be is they've they've been
able to stratify that there's an amount of about twenty
one times per month seems to be the you know,
the threshold where if you're at that or over there
seems to be a reduced risk of incidents of prostate cancer.
And there's certainly more of an increased incidence for those
who are at the four to seven times per.
Speaker 1: Month starting window, like like at young ages or like
throughout your time.
Speaker 5: They start looking at, you know, people in their twenties
and beyond. You know, they're trying to track these people
through a long period of time, and they they go
back and you know, there'll be people in surveys, you know,
and they get questions and then every couple of years
they send out the questions again, you know, just to
track them.
Speaker 1: Because there is a movement right now you've heard if
you've heard of doctor Jordan Peterson, a doctor Andre Huberman
and others, they are they have like joined this what
they call it no FAP movement, right, which is an
anti exacerbation movement, where like because it has nothing to
do with the prostate, it's the idea of your dopamine
levels and your psychology that you're getting used to the
same climax, that nothing could top that. So you're going
to go and get crazier and crazier to try to
overcome that dopamine hit that you get from an orgasm
if you're watching pornography and doing that all the time, right,
And their whole thing is, don't do it, just have
regular sex. But a lot of people you need someone
to do that with. And if they don't have that,
their recommendation will don't do anything, but it'll raise your testosterone.
There's other so there's like a trade off to it.
Does that make sense?
Speaker 5: There is a little bit, you know, and there's you know,
certainly you know there's.
Speaker 1: There's a double edged sword for that.
Speaker 5: Yeah, it's it's more or less like what is what
is your personality? You know, there's you know, you can
give certain people alcohol and you know they can deal
with it. But then there's some people who have a
higher tendency to become addicts, you know, and that can
be a problem to you talk about too much like
how much is too much? You know, there's right, they
don't say that in the literature, but you know when
it when it becomes a social detriment to you, or
it's you know, you're late for work again, or you
know you're you're just you're doing that. Yeah, and you're
you're you're cutting out time with your with your spouse
and you know things that wall.
Speaker 1: Street between like lunch and breakfast.
Speaker 2: What we rectile dysfunction And maybe this isn't your area,
but it's sort of in that adjacent area. I would think, Uh,
it's a lot of times blamed on aging, but are
there other contributing factors that were not necessarily aware of,
Like most.
Speaker 3: People don't something that most people don't.
Speaker 2: Realize is actually affecting their rectile dysfunction that they if
they eliminated maybe it would I don't know if it's
gonna cur it necessarily, but would certainly maybe lessen it.
Speaker 5: Yep, for sure, And that is a very large part
of my practice as well. You know, I can't go
you know, thirty minutes during the day without talking about
a rectal dysfunction. It seems like in sleep. Yeah, and
even but you're right, there's you know, it's kind of
you know, blamed on aging all that that happens when
you get older, right, you know, But the most common
cause in what happens as you're getting older is your
arteries are getting harder. Atherosclerosis, the same thing that causes
heart disease. So fun fact, men who are diagnosed or
have erect how dysfunction earlier in age, in their forties,
you're actually at a much higher rate risk of having
a cardiac event, higher risk of while using fiacrops correct. Yeah,
you know. So it's you know, they say that a
man's you know, erection is a overall barometer of their
vascular health.
Speaker 2: You know.
Speaker 5: So for all you guys out there, if you're having
any trouble with that, you know, getting to see a
regular doctor because that can be a sign of heart disease.
If you have erect HOUW dysfunction. You know, especially at
a at an earlier age.
Speaker 3: What would you recommend then, I mean honestly, like change diet.
Speaker 5: Yeah, there's essentially anything you do that's good for your heart, yeah,
is going to be good for you the rich right diet,
exercise Yeah, yeah, they say if you could do.
Speaker 1: Forty push ups in one city, yeah, that's actually a
very good sign that you're you're not going to have
a heart attack. The other one is if you do
a rigorous exercise and get your Why do you laugh
every time I talk?
Speaker 2: Because there's someone who's in the medical field in here.
Speaker 1: I'm just contributing.
Speaker 5: He can he can do I actually just read it.
I saw an article recently that had a there's like
bend I didn't you know memorize it, But there's there's
benchmarks for at a certain age you should be able
to do a certain amount of push up right, and
if you're above that, there is an association with a
lower cardiovascular risk with that.
Speaker 1: The other thing too, it's right if there's a test,
right that if you can get your peak heart rate
like at one forty one, fifty eight or whatever whatever
your peak is, you take one minute and you rest,
and if that heart rate drops by thirty or more,
you're or twenty one or more, you're fine. If it's
between twelve and twenty one, you're okay. If it's less
than twelve, then you're at risk for a heart attack.
Like your heart, your heart beats. So you know, just
if you do vigorous exercise, whatever that peak is, that
numbers should drop significantly, and if it does, then you're
not at a risk for a heart attack. I'm just saying,
I just want our audience to be aware of those things.
Speaker 3: No, I know, I just like to give you that
look because it makes me so.
Speaker 1: My doctor tells me my cholesterol too high, but everything
else is work, and I can go back to them
with these numbers and say, look, don't put me on
a stat and I'm fine.
Speaker 5: Okay, Then five years later I know why this is.
Speaker 3: This is the thing like I I sometimes go, I
want to try. I have to trust the man.
Speaker 2: I know when it comes down to the they have.
Speaker 1: The degrees, they have letters that I'm watching YouTube videos.
Speaker 2: But okay, so the argument that right, we can say that,
and and yet I think today you go to Apple University,
where they have courses and things that you can take
and you can probably get a educated on something as
well as you could maybe at a undergraduate level.
Speaker 3: Honestly, So I don't know the Apple University.
Speaker 2: Well, I'm just saying, like I think there are like
structured lectured class says that they film. I don't know.
Speaker 3: Probably, yes, I'm sure you do.
Speaker 2: I don't think you have to pay what you would
pay to go to Saint John Fisher today. But yes,
I think you're.
Speaker 1: A dirty I got my degree, odd, lie.
Speaker 2: Yes, yes I did.
Speaker 1: Then she died.
Speaker 2: There's a lot of guys who Okay, so this is
one that I have heard about. I'm sure that I
really experienced. But difficulty with climax and by or or
let's say, just ejaculation if that doesn't happen at all,
but you sort of have the orgasmic feeling.
Speaker 3: Is that bad? What is that? Yeah?
Speaker 5: And it certainly happens that that part of it does
tend to happen more as you age, you know, and
and orgasm and ejaculation they are usually you know, one
after the right. Sure, but if nothing comes out, it's
not necessarily a bad sign. I do have paid who
I see, not necessarily primarily for that, but in the
realm of you know, erect how dysfunction and prostate problems,
they'll mention, oh my gosh, nothing's nothing's coming out, you know,
and and it's really a matter of like separating the two, like, okay,
does it feel the same. You know, if you climax
inside something, you're not going to know what comes out.
Speaker 3: You know, in terms of the amount correct, right, and.
Speaker 5: Then otherwise it's just okay, stop looking at it, move on.
You know you're good. But in uh, there are you know,
medications that can cause a you know, reduction in that,
particularly prostate medications to help you constate medication. Yeah, yeah,
you can do that like supplemental or not as much.
Speaker 3: As that, but let's know, you're supplements. I don't know, right.
Speaker 1: Well, Hulkan was promoting this stuff called super Beta Prostate.
I'm serious. The commercials were so cheesy and Joe th
Joe was doing the commercials too.
Speaker 2: No, there's no but.
Speaker 1: Hey, Hulk Cogan was listen because he said, there's medication
and I'm trying to say that there were these commercials
out there where Joe Thaisman hul Kogan were promoting the
super Bana prostates supplement. They said it does as well
as like fifty uh soul plemental capsules. And I was
my question was is that stuff legit? Is that stuff real?
Speaker 3: Yeah?
Speaker 5: I mean that sort of thing has been out for
a very long time, you know, and you know, in
the medical world typically, you know, as we're trained, you
don't go out and lead with recommendations to take supplements
and things. They're just the studies behind them aren't as robust,
they're not as rigorous, they're not you know, you're double blind,
and they're not regularly rolled correct, you know. But the
other thing too, it's like you want to be recommending
things that are you know, you have some data behind
it that that shows that it works, and there's certainly
nothing wrong really with someone starting out with something like that. Yeah,
by the time someone gets to a urologist, you know,
usually symptoms are probably you know, pretty far gone at
that point, you know. And I do have people who
want to go that route. There's there's very minimal adverse
effects from you know, things like saw pometto you know,
so it's if someone has very mild symptoms and that
helps them, great.
Speaker 1: You know. I don't have a problem with that.
Speaker 3: Mike Ditka did one as well.
Speaker 1: Yeah, I think I didn't realize you still had one.
Speaker 2: We interviewed with Mike Ditko, but it was some kind
of some supplement as well. And it is funny, but
you have to look at the audience, right. If hul
Cogan is talking to guys, a lot of guys will go,
you know what, I should do that too, And I
think that's part of the appeal. But it's just to me,
it's it's just that we have a medical professional and
it's all Cogan just made me laugh. I'm not laughing
at you, but.
Speaker 1: I was going some with a question that was just
that he answered it exactly like you hear these things.
I don't want to make sure the audience knows that,
you know.
Speaker 3: Well, we do here a lot nowadays.
Speaker 1: Yeah.
Speaker 2: I mean, if you're in a certain age demographic, you're
getting targeted ads at you. If you don't sign up
for certain things, there's gonna be a lot of supplement things.
I mean, I can't tell you how much I get
beef tallow to rub all.
Speaker 1: Over my face I've got Yeah, how about like pelvic
floor exercise equipment? I get those targeted ads too.
Speaker 3: I haven't gotten. I don't know why I haven't gotten.
Speaker 1: It looks like it looks like basically we're the thigh Master.
It's exactly kind of what it is. Increase your pelvic
floor strength, increase orgasms, well, increase your penis strike.
Speaker 5: And I'm like, what's your Google searches?
Speaker 1: Well, no, it's like it just appears I'm not looking
this stuff up. It just shows no targeted ads. I'm
in my mid forties asking for a friend. Yeah, I
have some friends have some questions too.
Speaker 2: My favorite part though, with Dad is he is Daddy
is still one of the most pure people I've ever
met in my life, and he'll defend, He gets embarrassed
and he'll defend vigorously over things like that.
Speaker 3: Who knows they target it? Oh yeah, I'm serious. I don't.
Speaker 2: I don't know the So the ejaculation thing not necessarily
big deal. What I was going to ask is, do
things like there are people that are in low doses
of a fluoxetine or which is what the generic of.
Speaker 5: SSR, Yeah yeah, will those affect yeah?
Speaker 2: Yeah?
Speaker 5: Unfortunately. So it's, you know, the one of the more
common side effects, and not everybody gets it, but an
SSRI that that does certainly lower libido, lower sex drive,
decreases in ability to achieve a climax. You know, not
everybody gets that symptom, but it certainly can if.
Speaker 1: Some people actually asked to have that problem.
Speaker 5: Well, the you know, and again in the meedical world,
we do, we do treat people who have premature calculation, right,
you know, and there's there's ways to get around that.
You know, certain you know, psychosocial behaviors and you know,
increasing ativity, right, we were kind of talking about that.
You know, if someone's not very active and all of
a sudden, you know it's you know, Friday night and
a blue moon, and you know, you're doing your thing,
and if it's been a while, it's it may not
take very long. But people who you know, through behavioral modifications,
if it doesn't improve, SSRIs are a treatment.
Speaker 3: Of really almost an off label treatment.
Speaker 1: Thereat Yeah, damn, Actually, Dan, I know a guy. He
doesn't know that. I know that. We both know this
guy who actually took solof No.
Speaker 2: It's not me medical, No, it's just gonna say medical
hippo loss.
Speaker 3: Could we be careful?
Speaker 1: No, I'm just saying only if you just say say
the right No, no, but he said that he actually
went through this and his wife actually got tired and
he went through his doctorate said I need help with this,
and he goes, yeah, I know people wh actually would
pay for that problem. That's how I came up with
the question, yes, sure, because he would go on for
like ninety minutes. He's like, all right, we go to bed,
and he wouldn't finish because he was on he was
on zoloft. Yeah.
Speaker 2: Yeah, Well, but.
Speaker 1: Then there's other ssriyes that like like will actually make
it fast. There's a side effect too.
Speaker 2: I don't I have no idea.
Speaker 3: I don't know enough about any of.
Speaker 5: It, not that I've specifically come across. It doesn't mean
it's impossible, you know, but it certainly certainly can slow
things down, you know, the people who have delayed issues.
You know, if there's not a medical, you know reason
that we can find to help with that. You know,
you're checking a testosterone level, you know, making sure there's
not any you know, prostatic issue you know, to treat that.
You know, then you get into all of the you know,
psychosomatic concerns. But you know there's also off label treatments
to try to help improve you know, someone's ability to climax.
And you know, again that's where after you get past
all the medical things because as people age, you know,
you're looking at again atherosclerosis, hardening the arteries, reduced blood flow,
lower testosterone levels. And then also you know the other
thing that can happen is diabetes, nerve nerve damage, you know,
sensory nerves, peripheral neuropathy. You know, the penis is kind
of peripheral, you know, so you get reduced sensitivity there.
H So smoking is a bad one.
Speaker 3: Too, Yeah? Uh want can you stay for a little bit?
Speaker 2: Sure? Okay, So what why don't we take a break?
I want to ask and I don't know, I'll ask
before we go. But testosterone therapy stuff a lot of
mixed things that I've read a little bit dabbled in. Uh, yes,
that that That's where I'm going. But boy, they I
mean pushed supplement after supplement after supplement. And is it
the natural way of aging?
Speaker 1: Uh?
Speaker 2: For your body? That's probably the most healthy way. And
are there ways simply through diet and exercise that you
can increase testosterone without having to maybe put yourself at
at significant risk. We'll get to all that right after this.
Have you been to Leo's Bakery and Deli and East
Rochester recently? Oh, you gotta get there. They're open every day,
so it's very convenient. It'll satisfy your.
Speaker 3: Sweet tooth, your sandwich cravings. Get the Cubano.
Speaker 2: Tell them Billified said to have the Cubano sandwich, fresh
baked bread, hand crafted pastries, deli favorites, and desserts like
Canol's that'll make you rethink your self control.
Speaker 3: It's all waiting for you.
Speaker 2: So what's the best thing about Leo's Everything? Check them
out a Deskbats drive in East Rochester. Because every day
is a good day for Leo's. Because the best thing
about Leo's is everything.
Speaker 1: Oh the prostage.
Speaker 3: It's a good day and it's.
Speaker 1: Head inside has a sol Life's hot to breday because
we can't it.
Speaker 5: Side.
Speaker 2: I do wong, not.
Speaker 1: The blood and directum, the.
Speaker 2: Fancy gloves of where's the doctor? If the check?
Speaker 3: I will say that I once had my prostate check.
This is I shouldn't. I just remember being reddally embarrassed
that I didn't.
Speaker 2: I think I had to go home. I wore like
in the mid nineties, gap had these almost they were
almost white, but they were very light tan khaki khaki
pan and I went to the doctor had a prostate issue.
He looped up and then at that time he wasn't
saying white, you know, you may want to wipe yourself.
Speaker 3: He's like, all right, we're good, and.
Speaker 2: I pull I had I think I was blowing bubbles,
I asked, because there was so much. There was so
much loube and I think it's squished through. And I
had like a dime or maybe a quarter size of
the ointment or whatever, right the lube through because I
was wearing boxer shorts at the time.
Speaker 3: And then I saw somebody.
Speaker 1: We were like the poor girl who had to take
her sweatshirt wrapping around her. Yes, yes, that he did
a commercial for UH Men's depends.
Speaker 2: No, Well, I mean it's just it's one of these things.
But I think that there's I think guys are more
open to talking about these things today.
Speaker 3: What one of my questions is.
Speaker 2: And I don't mean this in any way other than uh,
just out of curiosity for men, it's probably easier to
talk to men about this. Are there many or any
that you were aware of female urologists?
Speaker 5: There's so they are. Yeah, and you know, we we
have quite a few advanced practice providers with our with
our practice to uh physician assistants, yeah, nurse practitioners, and
the overwhelming majority of them are are female. Yeah, you know,
And it's just a it's it's it's a comfort zone,
you know. Sometimes you know, the man, it's just more
of an embarrassment sometimes for them to see a female.
Speaker 3: That's that's what I mean.
Speaker 2: And some of these questions, I think that in America
we've done somewhat of a disservice and I I don't
know where everything is sort of cloak and dagger are
porn and now you can get it anywhere, but we're
still doing it in the dark corners of our own lives.
And I'm not saying we should talk about but it
certainly seems like Europe is a little more open, topless beaches,
naked around the kids, not as much body shame, and
we are. And I remember once having testicular issue and
go to the emergency room and uh, in comes the
doctor who's gonna check me out, and it's a woman,
and NIC's attractive, but just just like really, I mean, doctor, right, Scotter,
shit together, and she goes, all right, you're gonna have to.
And so now I don't know what happens in my head.
And I can do this with almost anything. I get
to a certain point and I can almost turn off
like any fear. I don't know what that is. I like,
I get to a point. Yeah, I get to a
point where I'm like, it could be anything, right, I
mean if I had, like when we used to have
to repel, and we had a friend who also repelled,
and don't say the name, but he wouldn't do it
down the side of the building, and I'll get to
the edge of that and I'll look over and I'll
get that same twins and then I'll go, I'll be fine,
and I turn it off. And I can do that,
or I can go one hundred and forty miles an
hour in a car and you know, just be like
hold on and then it's the great, this most exhilarating feeling,
but you're a little scared in the beginning. I can
shut that off, and it's the same thing. And I
remember looking at this woman going she's like, yeah, I
gotta take a look. I need you to stand here,
and she's now down like eye level, and I'm going
I have like every guy who's wondering how they measure
up what's happening, what's going on, And it's just clinical.
It means nothing. She's not going to remember you, You're
not gonna it's not you know. Yeah, but we get
get our head fucked up. In our head.
Speaker 5: Yeah, we learned very early on. Parts are parts, you know,
and it's just you know, to you, you're memorable, right,
and ship to the person who's taking care of you
five and that in that situation, you know they're they're
they're doing what they need to do. But it's just
it's a very you know, clinical and usually as long
as you know you have a general rapport with the person.
It's hard in an emergency room too. You know, you've
never even seen this person, which was great, but if
you yeah, and some people you know, for me, it
was like awesome, Yeah, if it's someone you've seen more,
you develop a relationship with that person and you decide like, okay, yeah,
they're really serious about what they're doing here. Yes, you know,
And it's just anyone who's properly trained can do just
as good as someone else, right. You know, when I
was at one of the other you know, urology practices.
There was a you know, a female PA that we
were training and you know, going through all the you know,
different exams and stuff like that, and you know, I
was examining this gentleman and you know, examine the prostate
and he's, you know, just kind of looks at her.
It's probably nerves and whatnot, and he's like, how do
you know what you're you know, feeling like you don't
have a prostate. And then I just I looked at
him and I said, have you checked your own prostate?
You know, it's like, how do you how do you know?
You know, it's just all training, you know what I mean.
Speaker 3: So great, great comeback, but yeah, but it's.
Speaker 5: You know, and sometimes it's just, you know, you get
uncomfortable and sometimes the filters off and you say things
that you don't really mean.
Speaker 3: And that's a definitely a.
Speaker 5: Guy, sure, yeah, but you know, it's just it's more
of a you know, the more you go to the doctors,
you know, and I even have patients who you know,
come in to see me for various things and I
might say, all right, well, you know, part of the
next part of the exam would be doing a rectal exam,
examining the prostate, getting an idea of what the pelvic
floor is doing, you know, and some people, you know,
you get the look and you have all these other
comments that you hear, and it's you know, you just
more or less you go over, why are we doing it?
You know, why are we checking? But if it's someone
you're probably going to see again, it's you know, it's
you don't have to do it today, you know, like
if if you want to think about it, give you
a little mental prep time and you know, we'll do
it in another you know, six months.
Speaker 2: So I don't know why if a doctor says to me,
he's probably a good idea that we check your prostate,
and they're saying we should do that. Now I have,
I wouldn't even hesitate.
Speaker 3: Yeah, in most of right, I wouldn't hesitate.
Speaker 2: And I don't know why, but I guess because I've
had the exam from a younger age. We did bring
up testosterone. There's a lot of supplement. You'll see it
all over health foods and not health food source, but
like genc's and things like that.
Speaker 3: A lot of ads that are pushed at guys.
Speaker 2: I think there's even one guy who is I think
doctor Drew is part of his thing. But they had
some kind of testosterone supplement and one of the side
effects is what may make you a little more aggressive
or angry. And I'm like, yeah, of course it does.
What what are the dangers with that are there? Or
is it better to try to raise it naturally and
let nature play it take its course.
Speaker 5: Yeah, I mean it's first off, you know, if I
see someone it's you know, you look at the whole picture,
and you know, I may have hundreds of patients on
some form of testosterone. Yeah, you know, but the first
thing is to try to establish a reason why not
to give it, you know, and if I can and
that person's feeling better, you know, through you know, diet,
behavior change, exercise, and we can see some data that's
showing you know, hey, we're getting the numbers to move
correlating with yes, I'm feeling better, then you you keep
you know, going on that path, you know, in a
big cause of that sometimes as men who have sleep
apnea snoring at night, not getting into a deep sleep,
you know. So for a guy testostereon levels, they're never
the same you can check a testogeon level five times
a day, it's going to be different every single time.
It tends to peak in the morning. Yeah, so in general, stereotypically,
men tend to be more frisky in the morning. Yeah,
and that's the morning wood songs when the levels are
generally higher. But if someone's not getting good sleep, they're snoring,
they're sleeping four hours a night, you're not getting into
those deep sleep cycles that trigger your body to say, hey,
let's make more testosterones, so that can be priority number one.
So yeah, there you go. Some patients I see, you know,
they don't even get on testosterone. They go back to
their primary care doctor and say, hey, we saw Dan
and you know I snore all the time at night.
Should I get a you know, sleep study? And they
do and they get that fixed, and over the course
of several months that the tea level starts starts going
back up.
Speaker 3: Okay.
Speaker 5: Yeah, so yeah, there's there's a lot of is it
important for men to check their tea level? It's not
a recommended, you know, routine screening, you know, because it's
everybody's levels all over the place. Someone may be running
around at three four hundred and they feel completely fine.
You know, another guy might need five six hundred. There's
really not a test to tell, like what is someone's threshold?
You know it certainly declines as we age, you know,
but there are things you can do to you know,
increase that. You know, I said sleep, good diet. You know,
you don't have to be a health nut per se,
but you know, in general, moderation, lean proteins, healthy fats,
fats that are in salmon, avocados, notts, seeds, you know,
fruits and vegetables, zinc, you know, vitamin yell that all
that good stuff that the almonds I asked for on
my rider that I wasn't delivered today, by the.
Speaker 3: Way, cinnamon. Didn't you say cinnamon almonds?
Speaker 5: It's just a nice little flavor.
Speaker 3: Dusted Well, I was gonna say, I think cinnamon is
pretty good.
Speaker 1: For cinnamon is really good. It is.
Speaker 2: Yeah, yeah, that's because I have been told and I
think Dan set off Mike. I'm not sure if we
were on at that moment, but we've been told of
increased risks of cancer. I think you were told heart attack.
Speaker 1: Heart attack, and hair loss if you go through TRT therapy. Okay,
this is what I was told several years ago by
a doctor.
Speaker 5: Yeah, And in the mid twenty or mid twenty tens,
there was some studies that came out that made people
pause about that.
Speaker 1: There was a black box.
Speaker 5: Warnings that came out. And recently there was a very
large study that was done and essentially, you know, more
or less targeted men who were a little more unhealthy
that had cardiac risk factors, you know, and they followed
them for five years. It was called the Traverse Study,
and it just came out within the last couple of years,
and essentially there was no increased risk in all cause mortality.
There was no increased risk in heart attacks, strokes. There's
a very slight increase in aphib rates, atrofibrillation, blood clots,
but nothing that led to death. You know, blood pressure
might go up a little bit, Yeah, but again it's
all in the proper management of that, you know. Or
you know, some patients ask me that what should my
testostereal level be? You know, and if if it's someone
who we're starting on treatment, it's basically the lowest level
that you can get by with during whatever treatment option
you're using. You know, whether it's a Gelly, you're rubbing
on every day, a shot you're given to yourself once
a week, hormone pellets that get implanted, you know, every
three to four months, long acting shots. They have testostereon
specific pills now, you know. So it's it's essentially that
lowest level that keeps you feeling well and back like yourself,
you know, while you're on that. And it's it's a
dose dependent thing, you know. I can see, you know
a dozen different people on testosterone and they may all
be on different dosings of different medicine, and it's it's
kind of what what works for them, you know, but
it's it's very it's a very safe treatment when it's
managed properly, you know, you know, you have you.
Speaker 2: Go to a doctor and not necessarily something.
Speaker 5: I and I see people who've been in the you know,
the bodybuilding industry for years and they they come to
see me and say, they say, all right, listen, I
just I just want to get clean. I want to
do this right. I want to have somebody monitoring it. Yeah,
you know, and we don't have studies that say, oh,
what happens if you're tea levels one thousand all the time,
you know, and then you just kind of have to extrapolate.
And you look at the car doors off, Yeah, trucks
off exactly.
Speaker 1: Pressed.
Speaker 5: Boy, you look at you know, bodybuilding industry, there there
is a higher risk of people just sudden death. You
know that. I've been on you know, the very high
level injections.
Speaker 3: Everything very long time.
Speaker 2: Yeah, well I think there was just recently a bodybuilder
just died, like within the past two days. I came across, Yeah,
forty four year old bodybuilder or guy at the gym. Yeah, yeah, yeah.
Speaker 1: It's about our age. I mean, well, it's funny because
like Ken Kamminitty, remember the steroid thing happened to baseball,
He ended up dying. He had like the drugs like
later on stuff, but he didn't realize that when he
took steroids that steroid users typically cycle on and off.
He just kept going and going and going. It didn't stop,
and then when he stopped, all of a sudden, he
felt lethargic. So he kept going, and guys like Koseko
were like, no, bro, you gotta do it like this.
That's how Konseko became like the godfather of steroid usage
because he actually like this is gonna sound ridiculous. He
introduced really steroids into baseball and made them more I
don't want to use the word mainstream, but educated a
lot of baseball players how to use him. He was
kind of like a die. I mean, if you've seen
Koseko today, he looks fantastic still he's like sixty something
years old, but like he did it like in a
proper way. Kmanitty was just yeah, doing it all the time.
Speaker 2: There's I almost feel like there's a rise in I
don't know what the right term is longevity doctors, but
there are doctors who are doing different hormone replacements and
for men right, you know, and these things.
Speaker 3: And I always worry.
Speaker 2: I always go, are you making your yourself more susceptible
to something kind of stops traphic versus actually helping your
your body?
Speaker 3: And I don't know the answer.
Speaker 2: And it sounds like if you do things properly, yeah,
it can work out.
Speaker 3: Yeah.
Speaker 5: And I've just I've you know, been fortunate to take
care of some people for you know, over a decade now,
and you know people that just they do well. I
have so many people that say, you know that they
they get their life back.
Speaker 2: You know.
Speaker 5: One of the primary symptoms of low testosterone is just
feeling like low energy, like I can't get up and
do that, you know, motivation like I used to go
to the gym all the time. I just I can't
get myself to go. Or they go and it takes
them five days to recover, you know, you know, and
just like mental clarity, mental fog. You know, people are
you know, say I'm not productive at work when my
testosterone is low.
Speaker 2: You know.
Speaker 5: So it's it's it's one of those things where you're
looking at numbers and there's guidelines that we use to
you know, kind of use as a benchmark of Okay,
should we start pursuing this or not. You know, but
if you have symptoms going along with that, you know,
it's it's worth exploring that and ruling out some other
potential causes of it, you know first, and if if
you can't rule out any other cause, and your only
other option is to start testosterone, and that's a great
patient to start that, and then they usually do very well,
you know, over over a long period of time. You know,
we we screened for prostate cancer. There's you know, there's
there's some data out there where the waters get a
little bit muddy with with prostate cancer and testosterone. One
nice thing with that Traverse study that was done, it
showed that there was not an increased risk in in
prostate cancer creases. Right, So you know, as as prostate
cancer starts to uh you know develop like uh change
more in a it's becomes more aggressive, then it does
become a lot more responsive to testosterone. So people who
have higher grades of prostate cancer, you know, you know,
you got to pull that back and stop. We actually
have patients who have prostate cancer, they've been diagnosed with
a low grade prostaate cancer. They choose to follow an
active surveillance protocol where they're not having their prostas taken out,
they're not getting radiation, they're not getting any other you know,
focal you know therapies, and you know, but they say
to us like, I can't come off a testosterone, Like
I'd rather I'd rather die than be off of this,
you know, like it's it's such a big change in
their life to be on it. And there's people now
who we follow who have prostay cancer who we're giving
testosterone to. Can you keep you check their PSAs every
time they come in and you know. You you just
watch for pattern changes and you know, you intervene if
you know something goes off, let your patient know.
Speaker 3: Get to a doctor.
Speaker 2: Fellas.
Speaker 1: Yeah, well I got so. I got two buddies who
are on TRT and every six weeks they're getting their
blood wrong, they're getting checked out.
Speaker 3: Yeah.
Speaker 5: It depends on what kind of treatment we're on. You know,
if if I have somebody who's on you know, let's
say a gel or they're doing self injections, it's a
little more you know, visits in the beginning, but once
someone's on kind of like an autopilot, it's generally a
six month follow up unless something, unless something changes.
Speaker 2: When you're that all right, well that's something to know
only because they do think that you probably do feel better.
Speaker 3: Yeah, it's I get I think you feel better.
Speaker 5: It's your you know, it's you know, and obviously you
know you feel like again, you.
Speaker 3: Know, but that's what you hear in some ads from guys.
Speaker 2: Right, Yeah, and you know.
Speaker 1: I can resume my daily activities. They show you at
a park. Yeah, I want to show you in two
separate bathtubs overlooking a bluff.
Speaker 5: No, they by the way, Yeah, the bathtubs and the CLIs.
The interesting story with that when that came out, obviously
that was for what and then you know, middle aged
men started noticing, like, I'm peeing a lot better, and
they actually went back and restudied it and they have
a secondary FDA approval for prostate related urinary symptoms. Oh wow, really,
so it becomes italy. Yeah, and now it's generic. You know,
it's it's very easy to get. You know, there's you
can get it online, but you know, pharmacies around here,
you know, they it's it's not expensive. You know, use
one of those good RX coupons that you are about
all the time, and it's you know, you're you're generally
under thirty bucks for a ninety day supply of that.
But it's a great medication for the right patient who
has prostate issues, they have some erect how dysfunction and
you know, in an ideal situation, they they respond to
that CLIs they take every day. Their erections are better,
they take it every day, they're peeing better. Ye have
lower dose, yeah, once a day, and it's it kills
two birds with one stone, it's it's it's a great yeah. Yeah,
and unlike the other you know, going back to the
you know, the ejaculation issue. You know, the typical right,
typical medications with that, like you have your you know
their generics now, but flomax, wrap a flow, your octa troll.
Those medications sometimes can cause what's called retrograde ejaculation or
decreased sense.
Speaker 3: Wait wait wait, wait wait wait, you don't have to
do with that.
Speaker 1: Retrograde Is that like when it goes back inside you?
Speaker 5: But yeah, it just doesn't go out forward?
Speaker 1: Is that bad?
Speaker 2: No?
Speaker 5: Okay, But if you don't tell patients about it, it's
it can be very concerning.
Speaker 2: Yeah, my god, nothing's coming out.
Speaker 1: Okay, but does it feel better?
Speaker 5: Well? Sometimes people have a sensation change with that. You know,
there's less of that rhythmic contraction that's going on.
Speaker 1: So, you know, I'm asking the questions.
Speaker 3: Feel better you feel? I'm just curious.
Speaker 1: Yeah, I have a friend wants to have more powerful orgasms.
Is that something you can work on at home?
Speaker 5: I haven't developed that pillar.
Speaker 2: What do they do for? You?
Speaker 3: Did bring it up? And I think that, Uh.
Speaker 2: I think a lot of guys, especially when they're young,
premature ejaculation is not an uncommon thing.
Speaker 3: It seems to.
Speaker 2: Probably go away as you get older and you get
a little more established and.
Speaker 5: Nerves settled down.
Speaker 2: Yeah, nerves settle down, or even your confidence maybe is
a little wren But what are there things that can
be done that aren't necessarily medicine or something that I
don't know, what do you do like like a numbing thing?
Speaker 5: Sometimes Yeah, it's you know, and there's a typical protocol
is you know, increasing the frequency and then being more
you know more you know, more active, more often within
reason obviously, and then you know there's there's techniques where
you know, for play, you know, don't touch anything, you know,
like because the more that things are stimulated, it elevates
that level, yeah, you know, and gets gets people closer
you know, barriers, you know, condoms reducing sensitivity there. But yes,
there are you know, creams that came out, I believe,
I forget the show that it was on, but there
was a product called Promescant and it was featured on
one of the talk shows and I think sales.
Speaker 1: It wasn't the view it wasn't.
Speaker 5: I think sales I heard went up by some ungodly
percentage after that hit the air.
Speaker 1: You know, it's a spray, Yeah.
Speaker 2: Yeah, well, because the great thing is, I know I
got it. I don't want anybody else to know. If
there's a way that I can have it, you know,
brown package to my door and no one knows what's
in there.
Speaker 3: That's great size.
Speaker 2: Well, it is the way things yeah, and it is
the way things now have gone in a lot of.
Speaker 1: Hey, goy door for Bill Moran radio host, you know
where he lives.
Speaker 2: But I think even for erectile dysfunction of thinking like
the hymns and hers, that they come right to the
door does make it a little more attractive just for
some people.
Speaker 5: It certainly does. And it's you know, and it's you know,
there's there's pros and cons with that, but it has
opened the door for people to start seeking treatment for that,
for something that can be very distressful.
Speaker 2: Yes, yes, and ruined relationships a certain point of shame.
Speaker 3: Yeah, it really does.
Speaker 5: I see it all the time. And my patients though
they'll mentioned, you know, the you know, some some men
aren't as you know, forthcoming with you know, letting their
spouse just know exactly what happened, you know, and then
you know the natural reactions, what's what's going on.
Speaker 3: You don't find me attractive anymore.
Speaker 5: Right, It's it's a real thing.
Speaker 3: Is it because I'm fat? Did I get fat?
Speaker 1: It's amazing how we get stuck in our own head.
Speaker 2: Well we do, but but but it makes sense, Yes
it does.
Speaker 3: That's what he's saying.
Speaker 5: I love.
Speaker 2: I would rather be the guy that goes to the
pharmacy and says, hey, I got to pick up and
what what are you here for? And you go boner
pills or whatever whatever the real name is, and yeah, see,
not that guy. I'd rather look them dead in the eye,
go fiagri. It's gonna be a hell of a weekend
just to me, because I think they'd laugh. They give
it out all the time. They don't care.
Speaker 1: The pharmacy, I go, yeah, four prescriptions for Dan BURRELLO. Yeah,
I got problems and they start laughing. Yeah, they try
to help you. Do you need to talk to the
counselor I know how to take these frankly, don't even
want them.
Speaker 5: Speaking of counseling. That's that's another one in there. That's
that can be very helpful, you know, seeing a certified
sex therapist, you know, someone who's you know, trained in
the whole mental you know, psychosocial aspect about sexual function.
Speaker 2: I have wanted to talk to This will sound funny
the way I'm about to say this, much like we're
talking to you on the podcast as sex therapist, and
I can never seem to find anybody that's willing because
I think they all think it's going to be jokes
or bonner jokes.
Speaker 1: It's not given our reputations.
Speaker 2: Well, you put a little levity behind it, but I
do think that there's a stigma and if you can
do something, I think most out nonmost all of life
has lived in our head. All of our suffering is
in our head. Our perception of things is in our head.
And I'm not saying that medicines and things aren't needed
that that that's not it. But I do think when
it comes to some of these things, to your point,
it could be in your head, and people don't want
to hear that. We want a quick fix. We live
in an age where we want the answer now, and
if it could be in the form of a pill,
please give it to me. Better living through chemistry. I
understand that, but if you can sometimes prevent that, because
most of these drugs do have a side effect, maybe mild,
maybe nothing, but it's for some people. Like I've known
people to take a pill that many, many, many people
take and they break out in full hives, right, and
it's awful and it's itchy, and they get scabs and
it's not comfortable.
Speaker 3: If you can do something in your head, I mean help.
Speaker 5: Right, Yeah, And it's it's a you know, it's a
it's a nice service to be able to have, you know,
and you know when you talk about erect how this
function if you know someone in the you know, not
to necessarily say it's limited to younger population, but you know,
I do have older gentlemen too, who you know, they
just they get a few bad performances and it's you
remember the last.
Speaker 3: Time, right, your Yelp review goes down, it's.
Speaker 5: Terrible, right, you're three stars. It's it stays in your
head and you get performance anxiety. And it doesn't mean
you're hyperventilating and sweating and all nervous and everything. It's
just things you're thinking about in your head.
Speaker 1: It's just like you so much does she does she know?
Speaker 5: Like? Oh, does she figure it out? And then and
then if you know, if if the question gets asked,
are you okay you're done. You know, it's it's very
difficult to recover after Oh my spouse knows, you know,
and you know, so it it. But you know, getting
back to it, you know, if someone has more psychogenic
erect how dysfunction, that's in general, it's almost like the
best kind of have sure that that you can reverse,
you know with clinical therapy, a new partner that you know,
it can go uh, prostitution, see a therapist. So yeah,
but all joking aside, that's you know, it's a real thing.
Speaker 3: It is, you know. Yeah, I always wondered like what
are they like a sex.
Speaker 2: Starvers, like what do they talk about? What are these things?
But it is really getting into probably taking you to
the moment and nobody no guys, I don't I shouldn't
say no guys. I think many men are uncomfortable talking
about that.
Speaker 5: Right, And it's you know, and again yes, it's the moment,
but it's more about like what leads up to that, right,
you know, it can be some deep seated things. There's
a lot of people who have had traumatic experiences and
you know that's it's good in the right you know,
professional hands to get that out and you know what
do I do with it, you know, And I tell
you know patients too, you know, if I if I
recommend that you know, and there's certain you know, it's
not there's not a blood test for it right now.
So you're you're at the mercy of your provider who's
watching how you communicate. What's your body language like, you know,
what what's your other past medical history? You know, and
if they are able to pick out, like you know,
I think there might be some psychogenic you know, issues
here to talk about. If you get to the right therapist,
they're gonna help get that out. I don't know what to.
Speaker 1: Say, Like, you don't have to worry about that.
Speaker 5: You just have to go there, you know, and and
the right therapist is going to help get that out
for you.
Speaker 2: Yeah, it's all I think really interesting. I appreciate you
coming in because I do think that these are things.
Speaker 1: Yes, you have one question, and I'm not I'm not
shy about asking this. When I go to a Bills game,
if there's no line at the bathroom, I can go.
But if I just like people beside me, are people
behind me? Like that shy bladder syndrome thing?
Speaker 2: Is that?
Speaker 1: Is that a real thing?
Speaker 5: Yeah, it's just you.
Speaker 1: You're I have the doctor. I didn't ask you.
Speaker 2: Yeah, well I get the same way at a troth
because somebody sprays at a Bills game, right, Yeah, I
can't go.
Speaker 5: Are they going to have those at the new stadium?
I hope troughs troughs, But yeah, it's you know, there're
gonna be tension and you know a certain things you
gotta be able to relax. You know, the the bladder
does its thing. It's not gravity. You know, there's there's
certain you know, neurologic things that happen, and you know,
the bladder muscle squeezes, and you're also your pelvic muscles
need to relax. You know, if you're tight down there,
it's it's not going to happen.
Speaker 2: You You mentioned pelvic floor a few times, and I
think keegel was something that was talked to more for women,
right or or I've known more of women to do that.
Is it something men should do as well? Pelvic floor
exercises for sure?
Speaker 5: Yeah, you know, and that's you know something where you know,
Dan talked about all these exercise in this device and
that device, and you know, you know, I coach my
patients through some of this. Some have bladder problems, urgency,
you know, just like you know anybody else.
Speaker 2: Women.
Speaker 5: You know, sometimes having a good balance public floor can help,
you know, get out of trouble with that. Sometimes there's
you know, certain things in sexual function where you know,
talking about climaxing too early, you know, you know, sometimes
it can be an imbalanced pelvic floor as well. But
keegel exercises, if you're doing them right, you can be
staring right at somebody and you're not going to know
that they're doing it. It's it's an internal you know,
contraction Basically. It's like if if you're doing a keegel exercise,
if you're pean, if you can stop your you're in
the middle peeing, that's a key exercise. Oh but you know,
having the ability to have that control but also relax
you know, sometimes if the pelvic floor gets too tight,
you know, that can cause down there too, you need
to you know, relax that.
Speaker 3: Yeah, it's a great party trick. They didn't they do
that then?
Speaker 2: Was it a Yankee player at the Milwaukee Stadium Where
a Milwaukee fan at the Yankee.
Speaker 1: City is a Milwaukee fan. I think at the Yankee.
Speaker 2: Stadium where they just started to.
Speaker 1: Yeah, just whipped it out and just started urineating all.
Speaker 2: Over right, right, yeah.
Speaker 5: Like the concourse, Like you said that, the breadth of
your knowledge about this stuff is fascinating.
Speaker 1: Yeah, sis, oh yeah, students of pop culture.
Speaker 5: It's always been fascinated since I've known you.
Speaker 1: Yeah, yeah, I know a lot of stuff I just
you know, can't yeah succeeding like I don't know.
Speaker 3: Uh, all right, we will take a moment. Feel free
to stick around.
Speaker 2: We've got There were some other things I wanted to
uh bring up. One was this young teacher who said,
I think we talked about her once before, but she's
back in the news. Who says she's too hot. That's
why she's being accused.
Speaker 1: The hot girl, the hot teacher.
Speaker 3: Hot teacher.
Speaker 2: Yes, attractiveness, right, a little narcissistic, but we will we'll
touch on.
Speaker 1: Can't be as narcissistic as snow white recently.
Speaker 3: I haven't. We will touch on all that when we
get back.
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Speaker 1: Gurd you know, make care though such a no no
time now.
Speaker 5: To wow.
Speaker 2: You know is Christmas and.
Speaker 3: My heart is hoop and why gonna give you know
what's on my mind?
Speaker 2: I forgot that it was Kristen wiggusin try take a
book inside is like the problem is like you could
could you go out with Kristen wig and take her seriously?
Speaker 3: Like would you.
Speaker 2: Think I would think I wouldn't be able to tell
if she was being serious or she you know what
I mean?
Speaker 1: I think that she is probably everybody gives Tina Fey
and Amy Poehler all the credit. I think Kristen wigg
is actually right up there with him, if not better,
because she could play anything. Yeah, like Tina Fey, you're
waiting for the punchline. Amy Pohler, you're waiting for the
punch light. With her, you don't know, like she can
totally like you know, punk you out, you have no idea.
Yeah from Brighton, New York. But you did this song, yes, Dan,
and I yes did this song. I don't remember if
I if you did. Did you do Timberlake and I
did Samberg? Or what was the place for?
Speaker 3: Yeah?
Speaker 5: I was I was a Timberlake the backup.
Speaker 1: Yeah for that one. Yeah. Yeah, we did that song
back in like oh seven.
Speaker 3: That is great.
Speaker 1: Yeah, how fun I believe it was.
Speaker 2: That's really funny.
Speaker 1: We had this guy from Mochester, like this guitar player
just show up and start playing and then he just
took over the song. And Dan I are looking at
each Yeah, like you did like a ten minute solo
over like leads. Yeah, like people forgot what you were
singing the song.
Speaker 5: Well, wow, there's a musician.
Speaker 2: Yeah, this is something happens. I saw this story. I
want to get to this story. Let me see if
I actually did grab the audio from.
Speaker 5: It or not.
Speaker 7: Ganny County woman found out she won the lottery okay,
and then realized she lost the ticket. She left it
in an old jacket that she donated to charity.
Speaker 1: Bullshit, that was an episode of The Golden Girls.
Speaker 2: Oh shit, well you got I don't know this lady,
is claiming that she lost the winning ticket.
Speaker 3: How would you know that you had the winning ticket if.
Speaker 2: You don't have Ganny County the ticket in your possession.
Speaker 3: The only way, no sense.
Speaker 1: The only way I could see that is if you
play the same five or six numbers every week and
have for years. Yeah that makes sense, okay, But like
there are these two guys in England back in the
nineties who.
Speaker 2: Like played the lot put it in a jacket, and
then I donated it.
Speaker 1: Yeah, it's ridiculous. Yes, I'm just trying to give you,
like the one percent chance.
Speaker 3: Let me hear the rest of this.
Speaker 7: Because Janny County woman found out she won the lottery
and then realized she lost the ticket. She left it
in an old jacket that she donated to charity.
Speaker 8: Talk about a nightmare. The winning lottery ticket. It it's
not a small one. It's worth two point five million dollars.
Her name is Mildred Simona Rouluto, and she says she
bought the ticket at a grocery store last May.
Speaker 1: It sounds like somebody would do that.
Speaker 8: Hey, I won, but where's the ticket. That's when she
remembered she had put it inside a jacket that she
donated to Vietnam Veterans of America.
Speaker 5: I was stupid, fuck, I was theres no words for it.
It was like beyond it's fortunate.
Speaker 1: How can I get it back?
Speaker 7: The organization donates clothing around the world, so that jacket
could be anywhere. PA lottery officials told Simoni Riluto she
must have the.
Speaker 2: Tic covering some kid in a It inspires on May eight.
Speaker 3: Some kid in the Chiefs winning Super Bowl.
Speaker 1: Four Bill's winning super Bowl. Yeah you know, I mean
it's funny, like Mildred Chicluso or whatever. Okay, Like my
aunt Millie, like won a lottery ticket, but she put
it in the jacket she gave away to charity. That
was an episode of The Golden Girls. Sophia did the
same thing. She had a winning lottery ticket. She's put
in a jacket they donated. They'd up sleeping, had a
homeless shelter that night, and at the end of the episode,
the priest who's running the homeless shelter, father, these people
need this lottery ticket more than I do.
Speaker 2: Why why do you remember? I remember all the details
of The Golden Girls.
Speaker 1: My wife and I actually like watch it when she
wants to go to like, so she has to have
the TV when she goes to bed.
Speaker 3: When is this still on?
Speaker 1: Oh, it's like it's on Lifetime. I think it's on
the Hallmark channel or one of those channels, because all
these channels basically just promote each other. Now they're all
on about like four companies. So but yeah, the Golden
Girls are on like uh binge. It was after he
finished Three Company.
Speaker 2: Yeah, I'm such a I love that you do that.
But now there were some internet rumors that they were
gonna bring back the Golden Girls.
Speaker 5: Yeah, I heard about it.
Speaker 2: Well, I don't know if it was ever real or
somebody fantasized this and they put it on social media.
Speaker 3: But Maya Rudolph was going to be part of it.
Speaker 1: Lisa kudriz Hev from Friends was gonna be on it and.
Speaker 3: She was gonna play I think who was. They're gonna
be the daughter of Rose's granddaughter. Yeah, yeah, Roses granddaughter.
Speaker 2: And then but they're also in their fifties now themselves,
which I think the Golden Girls were in their fifties
when that show started.
Speaker 1: Oh, they're in their sixties. They played people in their fifties.
I looked it up. Oh, because I'm like, are you sure, yes,
Blanche I think was the youngest at the time, Blanche
or Sophia because Sophia wore a wig and actually was
one of the younger ones. Be Arthur and Betty White
were the oldest, and then Rue McClanahan and then Stelle Getty.
By the way, the entire cast of The Golden Girls,
like everybody, not just the girls, but even like the
guests and all that stuff, most of them are all dead.
I mean, the show wasn't off the air that long,
and it ended in ninety three. It feels like yesterday.
But I remember every Saturday night Graham was watching us.
We're watching The Golden Girls and all the dirty jokes
we didn't get the gut over our heads. Grand would
start laughing, yeah, and we'd laughed because, oh it's funny. No,
you didn't get the joke. We're just laughing because Graham
is laughing. And then you get older, you're like, oh,
that's what they meant.
Speaker 2: Okay, Well, anyway, I think that that story that lady
is trying to pull a scam and get some sympathy.
I'm waiting for the go fund means to happen. For
the the lost lottery ticket.
Speaker 1: It sounds like something a Mildred would do exactly, and
a story a Mildred would make. I had a big go.
I had a big go.
Speaker 2: Danny had breaking news that we may be losing a
running back.
Speaker 1: James Cook, Buffalo Bill's running back, has put his Orchard
Park house up for sale after Brandon Bean earlier this
week said that he doesn't see foresee any more contract negotiations.
The Bills have. Actually rees are extended six different players,
just not their running back, who wasn't on the field
in the last nine and a half minutes of the
AFC Championship came And I can understand James Cook. His
brother's Dalvin. He wants to get paid. His brother, like
you know, wanted to get paid. The thing is running
backs nowadays with today's NFL or a Diamond dozen and
he has like Ray Davis is right behind him, so
is Ty Johnson. They could grab somebody on the draft
or off the street and replace James Cook.
Speaker 3: I mean that the had some great games, but don't.
Speaker 1: Get me wrong, he was the second best player that
AFC Championship. The problem is that if you're not on
the field in the game's biggest moments. How valuable are
you not?
Speaker 5: Very like that was the knocker.
Speaker 1: Willis McGahee, like, why isn't he on the field in
the late fourth court because he can't pass block on
third down? So once your your best player is if
he's in the backfield, If he's not in the game,
that means they're throwing dead right, you're throwing because he
can't dead giveaway? You know, the buill didn't have to
like go no huddle. No, they could have run a
four minute offense and won the freaking game, or at
least kicked the field going tight and said it the overtime.
I'm sorry that I get like really ticked off.
Speaker 2: What it comes to is right there with you, Yeah,
are you a big sports fan?
Speaker 3: Were you, like, uh, to Dan's level?
Speaker 1: Maybe he tried off for the Tour de France.
Speaker 2: Did you really are you?
Speaker 3: Were you a.
Speaker 5: Cyclist cyclist now not in to that capacity.
Speaker 1: There and we did a twenty four hour race here.
Speaker 5: Didn't you at the twenty four hour the downtime criteria. Yeah,
there's a one year that I got it was a
pro category one two race, and there was one year
where they had category twos in that race with a pros.
So I was a you know, lined up under the
lights and you know people around, you know, it was
it was a crazy environment. Yeah, it's like that whole
city used to come down there.
Speaker 2: That was a really cool event. Yeah, and it was like,
I mean those bikes were tight.
Speaker 5: Yeah, it's maneuver, it's fun. It's just muscle memory. But
I didn't do very well. You know, I was, you know,
so riding, but you did it half my age, and
you know, it's just you hang on a little bit
and there's a big slinky that happens. You get towards
the back and when you're going around a right angle corner,
you know, it slows down a lot of whiplash in
the back and you're you're riding twice as hard from
the back as the guys in the front. But it's
just to keep up to that level, it's just you
got to put yourself somewhere where you've never been before
to get up there.
Speaker 2: My old neighbor was part of the bud Light team
years ago, and he trained out and aspen and stuff.
He would jump on his bike and he was older
than I was, and I was probably in my mid
to late thirties when I when he was my neighbor.
He would jump on his bike and crank out ninety
miles in the morning.
Speaker 5: There's a training ride problem weekends. Yeah, that's like nothing.
Speaker 3: What is the hill?
Speaker 2: You probably know it along Canadate with Lake Down, I
believe the west side of the lake.
Speaker 3: Yeah.
Speaker 2: Is it like it's one of the I don't know
in terms of a grade. It's supposed to be one
of the toughest in the been a while. I want
to misspeak. Yeah, I didn't want to misspeak.
Speaker 5: But yeah, I don't put hair on your chest.
Speaker 3: Yeah. He would ride that like up.
Speaker 5: Yeah, and it's it's not an easy ride to get
there either, you know. No, it's not like you, you know,
drive your car to the bottom of the hill and
didn't go.
Speaker 1: Wasn't there like a hill that Stephanie I tried riding
out with Turk Hill. Yeah, I mean that's it's nuts too.
Speaker 3: Well, Turkyo is big, but this is like.
Speaker 2: It was gradually getting It's almost like I think it's
almost like a It's very steep, steep up and down.
Speaker 5: Yeah, and you're not sitting on your bike.
Speaker 2: And this guy, I remember, he would come over with
his kids once in a while.
Speaker 3: We had a pool he could do.
Speaker 2: Uh it wasn't I think it was like sixteen by
thirty two pool. But he would swim underwater from the
shallow end deep end and back without.
Speaker 1: Breaking his breath. Yeah, holding his breath. Yeah, yeah, yeah,
I thought you're gonna say he did the et over
my house.
Speaker 2: He didn't know. It was amazing, Like the guy had
and when and I said to him, once I go
one time, He's like he's just standing there in shorts
or something.
Speaker 3: I go, holy Christ.
Speaker 2: He looked like my kid's action figures his legs, upper body. Yeah,
but this is yeah. And the guy did like he
was really into cool shit. Like he had a kayak
that I tried to sit in in shallow water in
Lake Ontario. You had to have it was like so
balanced and it was all about core strength. He would
drop that in the canal at Bushnail's basin and he
would row out to work. He worked at Kodak, but
the Greece office, and he would he would paddle out
and then paddle back. That's what he did for That's
how he went to work some mornings. I'm not kidding,
but yeah, by this. But the kayak that was, honest
to god, damn, I couldn't sit in it.
Speaker 3: Like I have a kayak.
Speaker 1: Well, so you feel like you did to tip over
one side or the other.
Speaker 3: No, you do tip like I couldn't. I tipped.
Speaker 2: You had to have it was like one of the
shallowest shells. It was practically to the water. I don't
even understand. And he went and bought this thing on purpose.
Speaker 3: For Yeah, they say.
Speaker 1: Rowers have like those biggest hearts, like physically.
Speaker 3: Yes, why would think cyclists too? And runners?
Speaker 5: And yeah, the long endurance you know, activity and you're
you're pushing you know, definitely anaerobic going up that those
hills like that, and that's that's after you've been riding
for so long.
Speaker 2: And what is your here a really odd question, but
we did talk about somehow cardiovascular health and how it
all plays in even to your urology to a certain
extent or at least your penis.
Speaker 3: What is your resting heart rate? Do you know?
Speaker 1: Me? Yeah?
Speaker 5: Oh not not what it used to.
Speaker 2: Be, so because mine's in the like the mid fifties.
And then if I can kind of almost get into
a meditative state about two years ago, I did an
EKG and the alarms went off because it dropped below
forty five beats.
Speaker 3: Yeah, forty five beats a minute. I G.
Speaker 2: I was down like forty three or four to two.
Speaker 3: I can do that.
Speaker 2: And I think a lot of that was I ran
for many, many years when I was young. I'm over
weight by twenty forty pounds right now and all this,
and I still know that my heart rate overall is
probably a resting rate.
Speaker 3: Of fifty between fifty two and fifty five.
Speaker 5: And some of it sometimes it's genetics too, and you
put the two and two together and you got a
good Yeah.
Speaker 3: I'd like to keep it that way.
Speaker 5: You know, you got some good genetics.
Speaker 3: Well right there.
Speaker 2: But I think a lot of it was, you know,
even the exercise early on, because I ran all the
time and I loved it. I loved it, and then
I certainly haven't been doing that lately. I even was
told by a young child that reached up and touched
my son, and you got a santabelly.
Speaker 5: Now that you know it's a cardiovascular exercise is helpful
for you know downstairs.
Speaker 2: You gotta get going, man. Yeah, Well, I do spin
classes once in a while. I love the spins. The
spin classes are some of my favorite. Been doing a
lot of endurance in this spin classes. It's important. Yeah,
get that.
Speaker 1: Do you still fly planes?
Speaker 3: Wait? You fly planes?
Speaker 5: Do fly planes anymore?
Speaker 3: No? Used to?
Speaker 1: I used to.
Speaker 5: I did get my private pilot's license several years after
I got out of college, because why not?
Speaker 3: So to fly for fun? For fun?
Speaker 5: Yeah?
Speaker 3: Flying what?
Speaker 5: Single engine?
Speaker 2: Yeah?
Speaker 3: My brother was.
Speaker 2: My brother was flying single engines when he was I
don't think he had his driver's license yet, out of
a place called the Rhinebeck Arrow Drone down state. And
he used to fly over our house and uh, my father,
My father decided he's just a great man, a little strange,
a little weird, did everything himself. So he's redoing the roof,
but it's different, singles coming on, and my brother goes,
so I flew over the.
Speaker 3: House that it looks like shit, you gotta gets on.
I always thought that was so funny.
Speaker 2: I never would go up with I don't think I
ever got invited to go up with my brother, but
I never did. And then he went to Indiana State
for flight school and then had an engine stall.
Speaker 3: I thought, and I thought, hit a wind cheer as well.
Speaker 2: I don't know, but for whatever reason decided this wasn't
the path he was going to go.
Speaker 5: And yeah, and you gotta be doing it often. And
that's why I got out of it. I wasn't. I
wasn't flying as regularly as I probably should have. You know,
there's minimums, you know, standards where you have to you know,
keep current and whatnot. You know, but if you're at
the level where you're just you know, flying to keep current,
you know, you got to have everything you know, quick
and sharp and be able to react to those emergencies.
Speaker 2: What do you mane you've lived the rock star life.
Speaker 3: You did your own flying.
Speaker 1: Here's a photographer at one point, right, probably just the amateur.
Speaker 2: Yeah, but that that's cool stuff.
Speaker 3: I think that's great.
Speaker 1: And it's been dad.
Speaker 5: Yeah, and it did flying Actually did get to you're
talking about taking people up. I did take my eighty
year old grandmother up at one point, you know, helped
her get up into the plane, and you know, we
took a nice tour down, you know, past down to Letchworth,
you know, saw something, sights and everything that's cool, you know,
coming home and of course I got my license at
my training at the big airport, you know, so uh
coming back in and you know, landing and courses across
wind landing and you know, I was like, all right,
Grandma's plane's not going to be looking like it's going
right at the runway when I'm landing here. She's like, okay,
she's just calm, cool, yeah, you know, collected.
Speaker 3: Yeah, because if this is how tod it's fine.
Speaker 5: Okay with that. She's she lived her life well she was.
She grew up back in the day where she you know,
new farmers and they would go up in crop duster. Yeah,
you know, and those those guys are insane.
Speaker 2: Peah. Yeah. I always wanted to do a glider where
they you know, they pull you up and then they
just let you go. It just looks so cool, and
I would think it's pretty safe.
Speaker 3: Yeah, for the most part. There's no an yeah.
Speaker 5: Yeah, yeah, keep you know, your altitude where it needs
to be and you know, slow descent.
Speaker 3: Yeah.
Speaker 2: My uncle was a pilot for Delta, and uh, he
would never do single engine. Don't always go yeah, you
can't do that. No, there's no backup. But that's what most.
Speaker 3: People learn on that's where you gotta start start yeah,
I think.
Speaker 2: Uh, Anthony Danielli from the Danielli family of yeah property enterprises, enterprises,
thank you.
Speaker 3: Uh.
Speaker 2: He flies and he'll fly up to Boston to see
his sun live's up there, like go.
Speaker 1: There for lunch and come back.
Speaker 3: Yeah. Yeah, yeah, yeah.
Speaker 5: They have fly in breakfast sometimes too, they have what
they fly in breakfast? What is that people do? They
rent their plane and they go fly to some you know,
small airport and you know, small town, and they all
have breakfast and you know they come back. You know,
it's like the one hundred dollars pancake breakfast.
Speaker 3: Oh it's amazing. Yeah.
Speaker 2: I remember hearing about there was a I hurt my
back so I couldn't. I didn't end up going to
my cousin's wedding, but I was talking to one of
the chefs who used to work at Wegmans, and he goes, yeah,
I got on a plane with Danny and we flew
out to that restaurant in Park City, Utah, and flew back.
I was home in bed, in my own bed. I go,
that's the kind of life I want. I want because
I always think that there's different. I've said this too
many times and I'll repeat myself again. But the different
levels of money, Right, there's the you know, the rich guy.
Then there's the people who have fuck you money, right,
you know, you scratch my car, I'm just gonna go
buy a new one, fuck you. And then there's the
fuck me money. And the fuck me money are the
people who just burn it into don't even care. Like
I say, Galisano is my hero because he fights all
the bullshit, knows he's gonna lose. He fought goosse shit
goosh who fights goose shit goose shit.
Speaker 3: On his property.
Speaker 2: He went after the town for not controlling the geese population,
which I wonder if they did start to do it
because we didn't hear as many complaints and it's not
just his property. But he has the money to go.
I don't give a fuck if I win or lose.
That's the fuck me money. He fucked himself. I go,
that's amazing. That's the rich I want to be. That's
the rich I want to be. Aspiration, Yes, it's aspirations.
All right, we'll close it out. I uh, I apologize.
I hope I didn't embarrass anybody with that one. But
I think great information about prostate health and overall sexual
health for men, which is something that I think is
really important. If somebody, I'm sure they need a referral
to get.
Speaker 5: To usually not usually, Yeah, I do have you know,
referrals from you know, outside from primary care doctors. Yeah,
sometimes within you know, urologists, you know who you know,
you might be having kidney stone problems and then you
know you have another issue and they'll say, oh, go
see our you know, our sexual medicine team and you
know they'll help you out with that. But yeah, you
can call up a urology practice and say, hey, I
want to you know, get into get seen.
Speaker 1: Just like the old days.
Speaker 3: Oh you can.
Speaker 5: Yeah, some people who are self self referred.
Speaker 1: Did not know that, get ten of them and you
get like a free appointment.
Speaker 5: Yeah I want it. You know it's oh, who referred you,
and you know they'll ask for that and you know,
but it's you don't have to go through separate channels
to to get into be seen.
Speaker 2: Yeah. Okay, that's interesting because I thought you did have
to like go to your primary first and then they
had to refer you. Yeah.
Speaker 5: I think a while ago it was more like that.
Speaker 2: Okay, I see, I'm old school, old school with the
with the health Dan.
Speaker 3: It was a pleasure.
Speaker 2: We learned a lot of stuff. Appreciate reconnecting with Barrilla
from the old uh Diggler's Bridge days and uh Danny
always good questions. I didn't I didn't mean to make
any I love though laughing. I love how serious you get.
It's my favorite.
Speaker 1: I appreciate that.
Speaker 2: Intelligence.
Speaker 1: Yeah, we had one guy calling the breaking Hey, don't
you shut or bites.
Speaker 3: It's Vinny love to get under your skin.
Speaker 2: That's all right.
Speaker 1: I've lived a life.
Speaker 3: I'm Bill Moran.
Speaker 2: Tomorrow someone's birthday or maybe today as you're listening to this, we'll.
Speaker 3: Be celebrating tomorrow. I can't imagine who it is. We'll
see you tomorrow.
Speaker 1: Opportunity for me is just a curse that judging make
us feel